Rafaeli Alexandra Klein, Markowitz John C
New York State Psychiatric Institute, Columbia University, Room 1051 Riverside Drive, Room 4803 Unit/Box: 129, 1051 Riverside Drive, New York, NY 10032, USA.
Am J Psychother. 2011;65(3):205-23. doi: 10.1176/appi.psychotherapy.2011.65.3.205.
Interpersonal Psychotherapy (IPT), a time-limited, evidence-based treatment, has shown efficacy in treating major depressive disorder and other psychiatric conditions. Interpersonal Psychotherapy focuses on the patient's current life events and social and interpersonal functioning for understanding and treating symptoms. This case report demonstrates the novel use of IPT as treatment for posttraumatic stress disorder (PTSD). Preliminary evidence suggests IPT may relieve PTSD symptoms without focusing on exposure to trauma reminders. Thus IPT may offer an alternative for patients who refuse (or do not respond to) exposure-based approaches. Interpersonal Psychotherapy focuses on two problem areas that specifically affect patients with PTSD: interpersonal difficulties and affect dysregulation. This case report describes a pilot participant from a study comparing 14 weekly sessions of IPT to treatment with two other psychotherapies. We describe the session-by-session IPT protocol, illustrating how to formulate the case, help the patient identify and address problematic affects and interpersonal functioning, and to monitor treatment response.
人际心理治疗（IPT）是一种有时间限制的、基于证据的治疗方法，已显示出在治疗重度抑郁症和其他精神疾病方面的疗效。人际心理治疗专注于患者当前的生活事件以及社会和人际功能，以理解和治疗症状。本病例报告展示了人际心理治疗在治疗创伤后应激障碍（PTSD）方面的新用途。初步证据表明，人际心理治疗可能在不专注于暴露于创伤提示物的情况下缓解创伤后应激障碍症状。因此，对于拒绝（或对）基于暴露的方法无反应的患者，人际心理治疗可能提供一种替代方案。人际心理治疗专注于两个特别影响创伤后应激障碍患者的问题领域：人际困难和情感失调。本病例报告描述了一项研究中的一名试点参与者，该研究将14次每周的人际心理治疗疗程与另外两种心理治疗方法进行比较。我们描述了逐节的人际心理治疗方案，说明如何制定病例、帮助患者识别和处理有问题的情感及人际功能，以及监测治疗反应。
